Colostomy and ileostomy appliance



June 18, 1957 c. sMELsER 2,796,053

coLosToMYAND ILEQSTOMYAPPLIANCE Filed Nov. 2, 1955 IN VEN TOR.

Arr'Y 'United States Patent O 2,796,063 CoLosroMY AND ILEo'sToMY APPLIANCE Lawrence C. Smelser, Portland, Oreg. .Application November 2, 1953, Serial No. 389,521 i s claims. (ci. 12s-283) This invention relates to improvements in colostomy and ileostomy appliances for use by persons who have undergone a colostomy or ileostomy voperation as a result of which the lower end of the intestine has been left protruding externally through an incision in the abdomen and has terminated in an end of bulbous formation.

Heretofore appliances of this character have included solid discs or supporting plates with openings therethrough of fixed diameters and in applying one of such devices it was necessary to constrictland manipulate the bulbous end of the intestine through the fixed opening which should be of a diameter equal to that of the end portion of the intestine directly back of its enlarged terminal-end. This initial manipulation of the terminal end of an intestine is painful to thev patient and the mist of the intestine in the opening in the supporting plate causes irritation after the plate is applied.

Accordingly, one of the principal objects of my invention is to provide an improved colostomy appliance including a hingedly divided supporting plate having matched central recesses therein which when in an open position can be conveniently and comfortably applied back of the bulbous terminal end of the intestine and then closed about the intestine without the heretofore painful manipulation thereof through a fixed opening as aforesaid.

Another object of the invention is the provision of means for attaching and locking a colostomy bag or other suitable receptacle to a supporting plate which may be of the divided type as above referred to or of solid construction wherein an opening is formed on a predetermined diameter to accommodate the protruding portion of an intestine which in some instances is of uniform diameter throughout its length and has not terminated in a bulbous end.

The foregoing and other objects will appear as my invention is more fully hereinafter described in the following specication, illustrated in the accompanying drawings, and nally pointed out in the appended claims.

In the drawing:

Figure 1 is a view illustrating the manner in which the bag is attached to the body of a wearer.

Figure 2 is a front view of a hingedly divided supporting plate, bag attaching and locking means, and fragments of an attaching belt. In this view the supporting plate is shown in a closed position.

Figure 3 is a front view of the supporting plate in an open position.

Figure 4 is a sectional side elevation taken along the line 4-4 of Figure 2 and showing in addition thereto a colostomy bag removably secured to the attaching and locking means.

Figure 5 is a front view on a reduced scale of a modied form of colostomy bag and showing in dotted lines a disposable bag arranged on the interior thereof.

Figure 6 is a reduced fragmentary detail view of the bag and disposable bag attached to the locking means.

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vFigure 7 is a front view on a reduced scale of a modified form of supporting plate. l

Referring now more particularly'to the drawing:

In Figures 2 and 3 the supporting plate generally indicated byreference 'numeral `1 is made of two identical half sections 2 and 3 hinged together as at 4 and temporarily lockable in4 a closed position by means of an elastic band 5 or the like engaged with lateral projections 6formed integral with thetop end of each half section. The center portion of each half section is recessed as at 7 and 8 to form a circular opening when the plate is in a closed position and the edges of the opening are preferably rounded as indicated at 9. Secured to or formed integral with each half section of the supporting plate is a concentric semi-circular element indicated at 10 and 11 to form a concentric collar when both sections are brought together into a closed position. The outer pen'phery of the collar 10-11 is provided with circumferentially spacedapart tapered lugs 12 for cooperative locking engagement with corresponding lugs 13 formed on the inner periphery of a locking ring 14 when the ring is rotated with respect to the collar 10-11. It is to be understood, ofcourse, that any other approved type of cooperating interlocking elements could be used such as, for instance, breeched or continuous screw threads. j

. The colostomy bag indicated at 15, which may be of any desired length and width, is formed Vat its upper and open end with a circular neck 16 adapted to-be stretched over the peripheryv of the-locking ring 14 and to overlie an annular groove 17 therein into which it is pressed and securely held by a circular coil spring or other suitable elastic retaining element indicated at 18.

In Figure 4 reference numeral 19 indicates the abdominal area (in a broken line) of the person to which the colostomy appliance is to be attached and to insure permanent attachment I apply a suitable adhesive to the adjacent or back surface of the supporting plate 1. The intestine is indicated at 19A and its bulbous end at 19B.

For securely holding the appliance to the body of the wearer I provide any approved type of belt or strap 20 whose ends are provided with latches 21 for removable engagement with hook elements 22 secured as at 23 to the plate elements 2 and 3.

In applying my invention to the body of a wearer the plate sections 2 and 3 are swung into an open position about the hinge 4 as shown in Figure 3 for placement about the protruding portion of the intestine back of its bulbous end and then the two halves are drawn together and temporarily held in a closed position by the elastic band 5 as aforesaid. The plate with its adhesive backing is then pressed against the body of the wearer for attachment thereto. Following this the locking ring with the colostomy bag attached is placed over the collar elements 10--11 and then rotated in a clockwise direction to force its lugs into cooperative wedging and locked engagement with the corresponding lugs carried by the collar elements. The belt is then attached to the hooks 22 as aforesaid.

By this arrangement a bag may be quickly and conveniently removed from the supporting plate without disturbing the plate or the intestine extending through it and detached from the locking collar by removing the spring element 18. The bottom of the bag may be provided with a tubular drainage extension indicated` at 24 which may be closed by being folded back on itself and clamped by an elastic band or thelike as at 25. In the modified form of bag shown in Figure S I dispense with the drainage opening and instead provide an auxiliary disposable colostomy bag 26 disposed on the interior of the bag 15A and formed with an attaching collar 27 matching and fitting within the collar 17A of the main bag so that both bags may be securely attached to the locking ring 14A as shown in Figure 6.

The modified form of supporting plate shown in Figure 7 is of solid construction as is also its collar 10A whose external lugs 12A are adapted'for locking engagement with the lugs 13 of the locking ring 14 as in Tthe other form of supporting plate.

The central openings yinboth plates are formed on various diameters to t the outside diameter of the intestine ofthe individual user snugly -enough to ,prevent any relative movement and resultant chang.

While I have shown aparticular embodiment of my yinvention, l am aware Athat many minor changes therein will readily suggest themselves to others skilled in the art without departing from the spirit and scope of the invention. Having thus described my invention what I claim as new and desire to protect by Letters Patent is:

l. A colostomy and ileostomy appliance comprising in combination a'supporting plate having a central opening formed therein and a receptacle removably secured to the plate, means attachable at diametrically opposed points on the plate for attaching therplate to the body of a wearer, a collar formed on said plate, a locking ring surrounding said collar yand having wedging means formed thereon for cooperative locking engagement with wedging means formed on said collar, said receptacle being open at its top end and provided with means at its open end for removable engagement with said locking ring whereby said receptacle and ring may be removed as a unit from said supporting plate without removing the plate from the body of the wearer and whereby the receptacle may be removed from the locking ring. without removing the locking ring from said collar.

2. A colostomy and ileostomy appliance as in claim 1 wherein the central opening inthe supporting plate is variable in size.

3. A colostomy and ileostomy appliance comprising in combination a flat circular plate made of two sections hingedly attached to each other, each section having a central recess therein to form a single opening through the plate when the sections are in a closed position, a beltadapted to be located about the body of the wearer and engaged at its ends with said plate at diametrically opposed points thereon, a Lconcentric collar formed on said plate, a plurality of circumferentially spaced apart tapering lugs formed on the outer periphery of the collar, a locking ring formed with a plurality of circumferentially spaced apart tapering lugs on its inner periphery in locking engagement with said first mentioned lugs, and a receptacle open at its top end and provided with means removably secured to said locking ring whereby said receptacle and ring may be removed as a unit from vsaid supporting plate without removing the 'plate from 'the body of 'the wearer.

References Cited in the le-of this patent UNITED ySTATES PATENTS 2,549,649 Van Hove Apr. 17, 1951 2,585,716 Zoetz Feb. 12, 1952 2,595,934 Ginsburg May `6, 1952 2,684,676 'Perry July 27, 1954 FOREIGN 'PATENTS V:27,254 `Great IBritain Nov.,23, 11909 841,197 Germany June 13, 1952 

